| NPI | 1982127668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL REICH Owner 773-451-5874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 180.010240) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2017-07-25 |